Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing

by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee

JBJS Case ConnectVolume 5(3):e57

July 8, 2015

©2015 by The Journal of Bone and Joint Surgery, Inc.

Pre-injury anteroposterior radiograph made in January 2011 of the left femur, demonstrating a thickened lateral cortex and a radiolucent line.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph made in October 2011 of the left femur, demonstrating an atypical fracture of the femoral shaft.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph made in October 2012 of the left femur, demonstrating osseous union following intramedullary nailing with a reconstruction-type nail one year postoperatively.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

A radiograph showing subtle flexion at the fracture site.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.